Pennington, Paul
Pennington, Paul is an individual health care provider with primary practice located at 125 Se 5Th Ave , White Salmon WA 98672-0117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pennington, Paul can be contacted via phone (509) 281-3012.Contact Information
Primary practice address
125 Se 5Th Ave
White Salmon WA 98672-0117
Phone: (509) 281-3012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00014274 | Washington |
Profile Details
| NPI number | 1528074622 |
|---|---|
| LBN Legal business name | Pennington, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 24th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528074622 | NPPES |
| Washington | MEDICAID | 8160228 |
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